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Semiscleral Contact Lens Use After Direct Corneal Neurotization for Neurotrophic Keratopathy
Mark Morel1, Boris Severinsky, Hee Joon Kim
1Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA.
Purpose:
To describe a case of a patient treated for neurotrophic keratopathy (NK) with direct corneal neurotization (CN), where a modification to the CN technique allowed for semiscleral contact lens use postoperatively.
Observation:
Our patient had successful CN with improved corneal sensation. During the procedure, a 1.0 mm gutter was created between the limbus and nerve graft to allow for semiscleral contact lens fitting.
Conclusions:
With the use of preoperative planning and a limbal gutter during CN, a semiscleral contact lens can serve as a well-tolerated postoperative management option to improve visual acuity and protect the corneal surface in patients with NK.
